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Medical Social Worker
Medical Social Worker
Name
First
Last
Date
MM slash DD slash YYYY
Self-Assessment Rating Scale
No Experience
Theory or observation only during the past 12 months
Limited Experience
Performed less than 12 times within the past 12 months and may need a review
Experienced
Performed at least once per month within the past 12 months and may need minimal assistance
Highly Skilled
Performed on at least a weekly basis over the past 12 months; proficient
Assessment/Patient Care
General
No Experience
Limited Experience
Experienced
Highly Skilled
Assessment
Behavioristic charting
Community assistance programs
Defense mechanisms
Denial of rights
Discharge planning
DSMIV R
Experience as a group co-leader
Experience as a group leader
Medicare/Medicaid application process
Nursing home placement
Patient/family teaching
Short term goals
Patient Experience
No Experience
Limited Experience
Experienced
Highly Skilled
Affect manifestations
Aggression, acting out
Alcoholic patient/alcoholism
Anxiety disorder
Assaultive patient
Attention seeking behaviors
Bipolar, manic/depressive patient
Brain injury
Confused/disoriented patient
Delusional patient
Delusions of grandeur
Dementia
Depression
Developmental delays
Drug dependent behavior
Drug seeking behavior
Dying patient
Dysfunctional families
Eating disorders
Flight of ideas
Grandiose ideation
Grieving patient
Hallucinations
Intellectually disabled patient
Manipulative behavior
Neurosis
Panic/anxiety patient
Paranoia/paranoid behavior
Psychosis
Schizophrenia
Seizure disorders
Suicidal patient/precautions
Withdrawal syndromes
Computerized Documentation
No Experience
Limited Experience
Experienced
Highly Skilled
Meditech
Care Manager
Clinivision
Cerner
Epic
Therapies
No Experience
Limited Experience
Experienced
Highly Skilled
Crisis intervention concepts
Individual psychotherapies
Milieu therapy
Activity and recreation therapy
Assaultive behavior management
Behavior management techniques
Behavior modification
Crisis intervention
De-escalation techniques
Effectiveness assessment
Family therapy
Group therapy
Individual therapy
Seclusion and observation
Social and vocational training
Therapeutic communication
Medications/Therapeutic Intervention
Medications/Therapeutic Intervention
No Experience
Limited Experience
Experienced
Highly Skilled
Observe for S/S reactions
Observe for therapeutic effects of medication
Procedures/Equipment
Procedures/Equipment
No Experience
Limited Experience
Experienced
Highly Skilled
Isolation
Universal precautions
Practice Setting
Practice Setting
No Experience
Limited Experience
Experienced
Highly Skilled
Community care
Crisis center
Hospital
Institution
Hospice
Home health
Physician's office
Private practice
Age Specific Care
Age Specific Care
No Experience
Limited Experience
Experienced
Highly Skilled
Newborn/neonate (birth-30 days)
Infant (30 days-1 yr)
Toddler (1-3 yrs)
Preschooler (3-5 yrs)
School age children (5-12 yrs)
Adolescents (12-18 yrs)
Young adults (18-39 yrs)
Middle adults (39-64 yrs)
Older adults (64-79 yrs)
Elderly adults (79+ yrs)
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